Organization Active NPI

Lil Medical PLLC

Doing business as Asheville Suboxone Treatment

  • Addiction Medicine (Family Medicine) Physician
  • Asheville, NC
National Provider Identifier
1023772944
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
LIL MEDICAL PLLC
Doing business as
Asheville Suboxone Treatment
Practice address
875 Tunnel Rd Ste a
Asheville, NC 28805-2065
Phone
(828) 595-6548
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jonathan Hall, MDNPI 1699188334
Title
Physician
Phone
(507) 401-1465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X NU Primary

Addresses

Primary practice location

875 Tunnel Rd Ste a
Asheville, NC 28805-2065

Mailing address

PO Box 9670
Asheville, NC 28815-0670
Phone (507) 401-1465

Other names 1

  • Asheville Suboxone Treatment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211213002841 NC Part B Supplier - Clinic/Group Practice 4880084490 Receives reassigned benefits from 2 practitioners
Practice locations: Asheville, NC
O20230117002003 GA Part B Supplier - Clinic/Group Practice 4880084490 Receives reassigned benefits from 1 practitioner
Practice locations: Peachtree Corners, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2242617Lil Medical PLLC875A Tunnel Road, Asheville, NC 28805Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory

Locations

3780 Holcomb Bridge Rd
Ste D2
Peachtree Corners, GA 30092
Phone (828) 595-6548

875 Tunnel Rd
Ste A
Asheville, NC 28805
Phone (470) 641-6444

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1023772944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9670",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288150670",
            "telephone_number": "507-401-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 TUNNEL RD STE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052065",
            "telephone_number": "828-595-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "507-401-1465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asheville Suboxone Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.